Organization
KHEPER LIFE ENRICHMENT INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ERICA CHERYL BYRD MS, MFTI (DIRECTOR, THERAPIST)
(323) 750-7550
Entity
Organization
Contact information
Practice address
3406 W 75TH ST, LOS ANGELES, CA 90043-4926
(323) 750-7550
Mailing address
3406 W 75TH ST, LOS ANGELES, CA 90043-4926
(323) 750-7550
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
PSY 15637
CA
251S00000X
Community/Behavioral Health Agency
Primary
PSY 15637
CA
Other
Enumeration date
06/19/2014
Last updated
06/19/2014
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